Cardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Demoulas Family Foundation Center for Cardiac Arrhythmias, Massachusetts General Hospital, Boston, Massachusetts, USA.
JCI Insight. 2022 Oct 10;7(19):e160885. doi: 10.1172/jci.insight.160885.
Obesity is an important risk factor for atrial fibrillation (AF), but a better mechanistic understanding of obesity-related atrial fibrillation is required. Serum glucocorticoid kinase 1 (SGK1) is a kinase positioned within multiple obesity-related pathways, and prior work has shown a pathologic role of SGK1 signaling in ventricular arrhythmias. We validated a mouse model of obesity-related AF using wild-type mice fed a high-fat diet. RNA sequencing of atrial tissue demonstrated substantial differences in gene expression, with enrichment of multiple SGK1-related pathways, and we showed upregulated of SGK1 transcription, activation, and signaling in obese atria. Mice expressing a cardiac specific dominant-negative SGK1 were protected from obesity-related AF, through effects on atrial electrophysiology, action potential characteristics, structural remodeling, inflammation, and sodium current. Overall, this study demonstrates the promise of targeting SGK1 in a mouse model of obesity-related AF.
肥胖是心房颤动(AF)的一个重要危险因素,但需要更好地了解肥胖相关的心房颤动的机制。血清糖皮质激素激酶 1(SGK1)是一种位于多种肥胖相关途径中的激酶,先前的研究表明 SGK1 信号在室性心律失常中具有病理作用。我们使用高脂肪饮食喂养的野生型小鼠验证了一种肥胖相关 AF 的小鼠模型。心房组织的 RNA 测序显示基因表达存在显著差异,多个 SGK1 相关途径富集,我们还表明肥胖心房中的 SGK1 转录、激活和信号转导上调。在肥胖相关 AF 中,表达心脏特异性显性负 SGK1 的小鼠通过对心房电生理、动作电位特征、结构重塑、炎症和钠电流的影响而得到保护。总的来说,这项研究表明在肥胖相关 AF 的小鼠模型中靶向 SGK1 具有很大的潜力。